NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS
NPI 1104162932
Pediatrics - Developmental - Behavioral Pediatrics in Charlotte, NC

Q: What is Novant Medical Group, Inc's NPI number?

The NPI number for Novant Medical Group, Inc is 1104162932. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Novant Health Developmental & Behavioral Pediatrics.

Q: What is Novant Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since December 26, 2012

6331 CARMEL RD STE 102, CHARLOTTE, NC 28226(704) 384-0567(704) 384-0568 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2018, Aug 30, 2016 (2 updates tracked since 2016).

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About Novant Health Developmental & Behavioral Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH DEVELOPMENTAL & BEHAVIORAL PEDIATRICS (NPI 1104162932) is a healthcare organization registered as a developmental - behavioral pediatrics in Charlotte, North Carolina and active in the NPI registry since December 2012. The organization maintains a secondary practice location in Charlotte and lists Geoffrey K. Gardner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104162932

Entity TypeOrganization

Primary Taxonomy2080P0006X

Legal Business NameNOVANT MEDICAL GROUP, INC

Location Address6331 CARMEL RD STE 102Charlotte, NC 28226

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-0567 · Fax (704) 384-0568

Phone(704) 384-0567

Fax(704) 384-0568

Organization SubpartNo

Authorized OfficialGeoffrey K. GardnerVp Of Finance · (704) 316-1155

Enumeration DateDecember 26, 2012

Last NPPES UpdateSeptember 4, 20182 updates tracked since enumeration

✔ NPI 1104162932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

6331 CARMEL RD STE 102, Charlotte, NC 28226

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Other Names 1

Doing Business AsNovant Health Developmental & Behavioral Pediatrics

Secondary Practice Location 1

Location 13135 Springbank Ln, Suite 100Charlotte, NC 28226-3360 · Phone (704) 316-4445 · Fax (704) 316-4446

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP. LLC

Pediatrics